Exam 3 nur 155 2026 Questions and
Answers
Laceration - Correct answer-Tissue torn apart often by accidents
Abrasion - Correct answer-Surface scrape either unintentional or intentional
Contusion - Correct answer-Blow from a blunt instrument
Avulsion - Correct answer-A wound that occurs when tissue is separated from the
body
Penetrating wound - Correct answer-Penetration of the skin and underlying tissue
Skin tear - Correct answer-a break or rip in the outer layers of the skin; the
epidermis separates from the underlying tissues
Labs associated with wounds - Correct answer-WBC >
hEMOGLOBIN < (O2 TO TISSUE)
SERUM PROTEIN (CONTAIN ALBUMIN)
WOUND CULTURE: PT, PTT, INR, PLATELET.
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,Normal lab value - Correct answer-WBC 5-10
hemoglobin: male 14-18, female 12-16
Albumin: 3.5-5
PTT: 20-30 SEC
PT: 11-12.5 SEC
INR: 0.9-1.2 SEC
PLT: 150-400
STATE THE FOUR STAGES OF PRESSURE ULCER - Correct answer-Stage 1:
nonblanchable errythema, no ulceration
stage 2: partial thickness, skin loss abrasion involving epidermis and dermis
stage 3: full thickness skin loss involving damage or necrosis of subcutaneous
tissue that may extend down to but not through underline fascia
stage 4: full thickness skin loss with tissue necrosis with damage to muscle and
bone
Braden scale - Correct answer-A tool for predicting pressure ulcer risk
total 23 points, < 18 at risk
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, Norton pressure area risk assesment - Correct answer-Total score 24, 15-16
considered indicators not predictors at risk
RYB- RED - Correct answer-regeneration phase- gentle cleansing don't apply
pressure protect agranulation tissue
use non-cytotoxic wound cleanser w/o pressure
alcohol free barrier film
PROTECT-COVER
RYB- BLACK - Correct answer-DEBRIDE (REMOVAL OF NECROTIC
MATERIAL)
RYB- YELLOW - Correct answer-CLEANSE
Sharp debridement - Correct answer-requires use of scalpel, scissors, and/or
forceps to selectively remove devitalized tissues, foreign materials or debris from a
wound.
Mechanical debridement - Correct answer-scrubbing force or damp to damp
dressings
Chemical debridement - Correct answer-collagenase enzymes
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Answers
Laceration - Correct answer-Tissue torn apart often by accidents
Abrasion - Correct answer-Surface scrape either unintentional or intentional
Contusion - Correct answer-Blow from a blunt instrument
Avulsion - Correct answer-A wound that occurs when tissue is separated from the
body
Penetrating wound - Correct answer-Penetration of the skin and underlying tissue
Skin tear - Correct answer-a break or rip in the outer layers of the skin; the
epidermis separates from the underlying tissues
Labs associated with wounds - Correct answer-WBC >
hEMOGLOBIN < (O2 TO TISSUE)
SERUM PROTEIN (CONTAIN ALBUMIN)
WOUND CULTURE: PT, PTT, INR, PLATELET.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Normal lab value - Correct answer-WBC 5-10
hemoglobin: male 14-18, female 12-16
Albumin: 3.5-5
PTT: 20-30 SEC
PT: 11-12.5 SEC
INR: 0.9-1.2 SEC
PLT: 150-400
STATE THE FOUR STAGES OF PRESSURE ULCER - Correct answer-Stage 1:
nonblanchable errythema, no ulceration
stage 2: partial thickness, skin loss abrasion involving epidermis and dermis
stage 3: full thickness skin loss involving damage or necrosis of subcutaneous
tissue that may extend down to but not through underline fascia
stage 4: full thickness skin loss with tissue necrosis with damage to muscle and
bone
Braden scale - Correct answer-A tool for predicting pressure ulcer risk
total 23 points, < 18 at risk
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, Norton pressure area risk assesment - Correct answer-Total score 24, 15-16
considered indicators not predictors at risk
RYB- RED - Correct answer-regeneration phase- gentle cleansing don't apply
pressure protect agranulation tissue
use non-cytotoxic wound cleanser w/o pressure
alcohol free barrier film
PROTECT-COVER
RYB- BLACK - Correct answer-DEBRIDE (REMOVAL OF NECROTIC
MATERIAL)
RYB- YELLOW - Correct answer-CLEANSE
Sharp debridement - Correct answer-requires use of scalpel, scissors, and/or
forceps to selectively remove devitalized tissues, foreign materials or debris from a
wound.
Mechanical debridement - Correct answer-scrubbing force or damp to damp
dressings
Chemical debridement - Correct answer-collagenase enzymes
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
